Organization
NORTHBAY HEALTHCARE GROUP
Active
Parent organization
NORTHBAY HEALTHCARE GROUP
Other names
Northbay VacaValley Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHBAY HEALTHCARE GROUP
Authorized official
LORI EICHENBERGER (SENIOR DIRECTOR, REVENUE CYCLE MGMT)
(707) 646-3400
Entity
Organization
Contact information
Practice address
1000 NUT TREE RD, VACAVILLE, CA 95687-4100
(707) 646-3401
(707) 646-4803
Mailing address
1000 NUT TREE RD, VACAVILLE, CA 95687-4100
(707) 646-3401
(707) 646-4803
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
110000093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110000093
DHS LICENSE
CA
01
—
HSP30680F
MEDI-CAL (INPATIENT)
CA
01
—
HSP40680F
MEDI-CAL (OUTPATIENT)
CA
Enumeration date
01/18/2007
Last updated
12/16/2019
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